Organization
SIO OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PERKINS (ONBOARDING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
2853 N MAIN ST, BELTON, TX 76513-1141
(254) 233-2037
Mailing address
505 E HUNTLAND DR, AUSTIN, TX 78752-3717
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/03/2021
Last updated
03/04/2021
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